作者: Adam L. Cohen , Sheri L. Holmen , Howard Colman
DOI: 10.1007/S11910-013-0345-4
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摘要: Mutations in isocitrate dehydrogenase (IDH) 1 and 2, originally discovered 2008, occur the vast majority of low-grade gliomas secondary high-grade gliomas. These mutations, which early gliomagenesis, change function enzymes, causing them to produce 2-hydroxyglutarate, a possible oncometabolite, not NADPH. IDH mutations are oncogenic, although whether mechanism is through alterations hydroxylases, redox potential, cellular metabolism, or gene expression clear. The also drive increased methylation Gliomas with mutated IDH1 IDH2 have improved prognosis compared wild-type IDH. Mutated can now be detected by immunohistochemistry magnetic resonance spectroscopy. No drugs currently target IDH, this remains an area active research.